Individual
KRUPA ANDALKAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.A.-C
Contact information
Practice address
5841 S MARYLAND AVE, CHICAGO, IL 60637-1447
(773) 702-2123
Mailing address
2400 N LAKEVIEW AVE APT 1011, CHICAGO, IL 60614-2736
(510) 468-5865
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
085004088
IL
Other
Enumeration date
09/28/2011
Last updated
10/17/2011
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